Adiva | Laparoscopic Surgeries Center | Gastro Esophageal Reflux Disease (GERD) | Antireflux Surgery | Hernia | Types of Hernia | Inguinal Hernia | Gallstones Treatment | Laparoscopic Cholecystectomy | Appendicitis Treatment | Laparoscopic Appendicectomy | New Delhi, India

After making great strides in above fields, we now proudly bring to you the world's most advanced Laparoscopy treatment in association with the best and most experienced doctors in this field.

Appendicitis
Appendicitis is an inflammation of appendix (a painful swelling and infection). If it is not treated, it can eventually burst and infection can spread throughout the abdomen.

Hernia
A hernia occurs when there is a bulge or protrusion of the abdominal viscera through the weak muscles of the abdominal wall and there is a small balloon like swelling. This bulge is seen more prominently with weight lifting and any kind of straining. Hernia may be seen at birth or can develop in adult life. Most of the times, it becomes bigger with time and age, and usually requires surgical treatment.

Advantages of Laparoscopic Surgery

• Minimal post operative pain
• Smaller scars
• Almost no blood loss
• Excellent cosmetic results
• Faster recovery and quicker returns to normal activity
• Short hospital stay
• Surgery can be done on day care basis
• Safe surgery and excellent results

Why Us?

• Adiva makes you feel at home. It makes you feel good from within. The aura of the hospital is so positive & soothing that you almost forget that you are ailing. We make your suffering vanish.
• The staff is pleasing and genuinely concerned for you. Right from the doctor to the duty nurse, you will experience unparallel care and attention.
• You will have a caretaker to listen and fulfill your needs.
• You will have an access to the doctor 24x7.You may call the doctor any time you need.

Why Health Tourism in India?
Without a doubt, India has become the medical tourism capital of the modern world. Offering the latest technological advances, experienced and expert physicians and surgeons and the very best in patient care, India has secured her place in the world as a premier medical travel destination.

Specializing in orthopedic, cardiac, transplant and plastic and cosmetic surgical procedures, India is also a leader in nuclear medicine, neurosurgery and cancer procedures. American medical travelers flock to India for such treatments because of the enormous savings to be had - nearly a tenth of the cost of procedures and surgeries in the U.S. It's no wonder that medical tourism in India is increasing at a rate of about 30% a year.

Please Click Here to request more information from ADIVA | Laparoscopic Surgery Center.

Beyond Expectations
Adiva is a special institution. An extraordinary venture. It is not a mere hospital but a place where we celebrate womanhood. Before creating Adiva, we began by asking ourselves a few simple questions - questions that led us to look at women's healthcare in a whole new way. Why can't a stay in the hospital be not something that has to be endured, but a joyful experience? Why can't a hospital smell of flowers and not of disinfectant? Why can't a hospital's staff not just be experts in advanced medical care, but also in listening, caring and loving?

Here are some features and services by Adiva which you must have never expected a hospital could ever provide, though you always wished it could. Experience Adiva and expect the unexpected:

Adiva makes you feel at home. It makes you feel good from within. The aura of the hospital is so positive & soothing that you almost forget that you are ailing. We make your suffering vanish.
The staff is pleasing and genuinely concerned for you. Right from the doctor to the duty nurse, you will experience unparallel care and attention.
You will have a caretaker to listen and fulfill your needs.
You will have an access to the doctor 24x7.You may call the doctor any time you need.

Please Click Here to request more information from ADIVA | Laparoscopic Surgery Center

GERD results due to movement of gastric contents and acids into the esophagus. Normally food passes from mouth to stomach through esopagus (food pipe) and food does not go back into the food pipe due to pressure of lower esophagus Sphincter (LES). Excessive, Frequent relaxation of LES causes GERD. Hiatus Hernia associated with this condition allows part of stomach to protrude into chest cavity. This condition contributes to failure of sphincter of lower esophagus.

Symptoms of GERD
The most common symptoms are:

• Heart Burn (Experienced as a retrosternal burning discomfort).
• Indigestion.
• Regurgitation of food in mouth on lying down specially during sleep.
• Dysphagia and difficulty in swallowing.
• Difficult sleep after eating.
• Atypical symptoms can be chest pain, wheezing, hoarseness, chronic cough, chocking etc.

If untreated GERD can cause ulcer formation, bleeding, narrowing of the esophagus that causes difficulty in swallowing. In some patients this may lead to "barrett's esophagus" and cancer if untreated. Also there can be aspiration pneumonia, asthma, pulmonary fibrosis.

For the above mentioned, surgery is a curative treatment. Surgery can reconstruct the LES as well as repair the Hiatus Hernia.

Surgery can be done by:

• Open Method
• Laparoscopic Surgery

In both the aim is to repair LES and Hiatus Hernia.

Treatment options.

• Elevation of head of the bed by 45 degree.
• Avoidance of faty or spicy food
• Eat smaller or frequent meals
• Not to sleep immediately after eating
• Avoid smoking, chewing tobacco, chocolates and drinking alcohol.
• Wear comfortable cloths.

With all these measures, 20% of the patiens are beneifited.

• In patients refractory and intolerant to medical treatment
• Present with complicattions of GERD
• Persistent symptoms requiring longterm medication
• Atypical pulmonary and laryngeal symptoms.

Antireflux surgery is done by making three ( 3-5-10 mm sized) tiny holes, which are made in the upper abdomen, through these holes, instruments and the laparoscope (telescope) are passed, the telescope is connected to a special camera which allows a direct view of the stomach and esophagus, as well as other abdominal organs. This involves wrapping a portion of stomach (fundus) around LES with reduction of a Hiatial hernia if present. This constructs a valve like mechanism to re-establish gastroesphageal junction competence. This creates a barrier to the reflux of gastric contents, so it provides relief of the symptoms and prevents the complications associated with GERD.

Advantages of Laparoscopic Antireflux surgery

• Minimal post operative pain
• Very mnimal blood loss
• Short hospital stay
• Smaller scars
• Faster recovery and quicker return to normal activity.

Success rate:
Worldwide results show that 80-90 % of the patients feel very comfortable after the surgery and there is significant improvement in their lifestyles.

How Gallstones are formed?
It is still not clear why some people develop gallstones, however risk factors include

• Obesity
• Excess estrogen
• Cholestrol lowing drugs
• Diabetes
• Rapid weight loss
• Prolong fasting
• Multiple pregnancy
• Woman age between 20 and 60 years are likely to have gall stones twice as men.

Symptoms

• Galldtones when formed can give rise to severe pain in right upper abdomen, vomiting, indigestion, occasionally fever and may be jaundice.
• Gall stones pain often occurs after eating fried meals.
• Pain due to gall stones can mimic like heart attack, so accurate diagnosis is very important.
• Diagnosis can be made by simple ultrasound scan done in a fasting state.
• Gallstones can cause jaundice and pancreatitis if they get trapped in the bile ducts.

Treatment
There is no treatment for gall bladder stones. There may be short term success with dietary adjustments and drugs but eventually symptoms will continue.

Surgical removal of Gall bladder (Laparoscopic Cholecystectomy) is the time honoured, safest and gold standard treatment all over the world.

This surgery can be done in every patient inclusing patients with previous abdominal operation, cardiac, asthmatic and diabetic patients also.

This surgery can be done as a day care procedure in young and selected patient.

Procedure
Under General anesthesia, the surgeon makes few tiny holes in the abdomen and inserts a telescope with a mounted video camera into the abdomen. As a result a magnified image of patient's internal organs are displayed onto a video monitor, Through other holes surgical instruments are inserted and by watching the moniotr surgeon carefully separates the gallbladder from the liver ducts and vessels. Gall bladder is the removed through one of the small incisions. All the incisions are closed with one or two stiches.

In a small number of patients, if laparoscopic surgery is not possible then gall bladder is removed by open surgery. In open surgery, the surgeon have to make 5-7" incision in the abdomen to remove the gall bladder. Open surgery is required in less than 0.2% gall bladder operation at our hospital.

Advantages of Laparoscopic Cholecystectomy

• Minimal post operative pain.
• Very minimal blood loss
• Smaller scars
• Faster recovery and quicker return to normal activity
• Short hospital stay (less than 1 day)

Appendicitis

What is Appendicitis?
Appendicitis is an inflammation of appendix (a painful swelling and infection). If it is not treated, it can eventually burst and infection can spread throughout the abdomen.

Symptoms
There are many typical symptoms of Appendicitis; most common is severe abdominal pain, i.e. pain around belly button which occurs suddenly and gets worse when moving around, taking deep breadths, sneezing or coughing. Further symptoms include nausea, vomiting, loss of appetite, abdominal swelling and painful urination.

Treatment
Open Technique:
Through a single incision in the lower right area of the abdomen, appendix is removed.

Laparoscopic Appendicectomy:
Under general anesthesia, three (3-5-10 mm sized) tiny holes are made in the lower abdomen, through these holes, instruments and the laparoscope (telescope) are passed; the telescope is connected to a special camera which allows a direct view of the appendix as well as other abdominal and pelvic organs. With other instruments, by watching the inside picture of the organs on the screen, appendix is separated, ligated at its base and then removed through one of the holes.

Advantages of Laparoscopic Appendicectomy

• Minimal post operative pain
• Smaller scars
• Very minimal blood loss
• Faster recovery and quicker return to normal activity
• Short hospital stay

Complications of acute Appendicitis
If appendix is not removed during appendicitis then it can lead to generalized abdominal infection, appendicular abcess formation, rupture of appendix and also gangrene.

Hernia
A hernia occurs when there is a bulge or protrusion of the abdominal viscera through the weak muscles of the abdominal wall and there is a small balloon like swelling. This bulge is seen more prominently with weight lifting and any kind of straining. Hernia may be seen at birth or can develop in adult life. Most of the times, it becomes bigger with time and age, and usually requires surgical treatment.

Various types of hernia:

• Inguinal Hernia: The most commonly seen in the groin, specially in males.
• Femoral Hernia: Also in the groin
• Incisional Hernia: Seen at the sight of previous operation.
• Epigastric Hernia: Occur in the midline, between umbilicus and breastbone.
• Umbilical Hernia: Develops in and around navel.

Symptoms of Hernia
The hernia appeares as bulge under the skin which becomes more prominent on standing and straining and disappeares on lying down. THe swelling can be pushed back with gurgling sound on lying down. At times gurgling sound of the intestine can be heared or felt. Mild discomfort or pain can occur but hernias are usually painless. Severe continuous pain, redness and tenderness are signs that hernia are getting obstructed and strangulated. These symptoms are of serious concern, and one should contact the surgeon immediately.

What are the causes of hernia.

• Herediatry
• Chronic cough
• Heavy weight lifting
• Pregnancy
• Obesity
• Muscular weakness due to increasing age
• Excessive straining due to constipation or difficult urination

Risks of Hernia
The hernias can get obstructed or strangulated which causes abdominal pain, nausea, vomiting and unable to pass wind. These symptoms require urgent attention and immediate surgery. Otherwise Hernia should be treated as early possible. The surgical results with smaller Hernias are much better as compared to large Hernias.

Laparoscopic/ Endoscopic Hernia Repair
Three (5-10 mmm sized) incisions are made depending on the size of the hernia. Through these incisions instruments and laparoscope (telescope) are passed; the telescope is connected to a special camera which allows the surgeon to see the hernia and surrounding area on a video monitor. With other instruments, by watching the inside picture of the organs on the screen, surgeon is able to fix a surgical mesh over the hernia defect and held in place with small surgical staples.

Advantages

• Minimal post operative pain
• Almost no blood loss
• Excellent cosmetic results
• Faster recovery and quicker returns to normal activity
• Short hospital stay
• Surgery can be done on day care basis
• Safe surgery and excellent results

 Please Click Here to request more information from ADIVA | Laparoscopic Surgery Center

Laproscopic Surgeon

Dr. Biswa Bhushan Dash 
MBBS, MD (AIIMS),MICOG, GSE (Canada)

Dr. Vijay Hangloo
MBBS, MS Laproscopic Surgeon 

 Please Click Here to request more information from ADIVA | Laparoscopic Surgery Center

India: Land of Enchantment

Why Health Tourism in India?
Without a doubt, India has become the medical tourism capital of the modern world. Offering the latest technological advances, experienced and expert physicians and surgeons and the very best in patient care, India has secured her place in the world as a premier medical travel destination.

Specializing in orthopedic, cardiac, transplant and plastic and cosmetic surgical procedures, India is also a leader in nuclear medicine, neurosurgery and cancer procedures. American medical travelers flock to India for such treatments because of the enormous savings to be had - nearly a tenth of the cost of procedures and surgeries in the U.S. It's no wonder that medical tourism in India is increasing at a rate of about 30% a year.

 Please Click Here to request more information from ADIVA | Laparoscopic Surgery Center